1. Home
  2. Directory
  3. NPI Profile

SOUTH EAST AMBULANCE DISTRICT
NPI 1629535133
Ambulance - Land Transport in Bradner, OH

Active since February 21, 2019CLIA 36D2163712 · Waiver
1968 MERMILL RD, BRADNER, OH 43406(419) 800-8033(419) 800-8117 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2022, Feb 9, 2021, Feb 21, 2019 (3 updates tracked since 2019).

About South East Ambulance District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH EAST AMBULANCE DISTRICT (NPI 1629535133) is a healthcare organization registered as a land transport in Bradner, Ohio and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Jerry L Houtz, District Board Chairman, as its authorized official.

NPPES Registry Identity

NPI1629535133
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSOUTH EAST AMBULANCE DISTRICT
Location Address1968 MERMILL RDBradner, OH 43406-9766
Mailing Address1968 Mermill RdBradner, OH 43406-9766
Phone(419) 800-8033
Fax(419) 800-8117
Organization SubpartNo
Authorized OfficialJerry L HoutzDistrict Board Chairman · (419) 575-4833
Enumeration DateFebruary 21, 2019
Last NPPES UpdateApril 19, 20223 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1629535133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
1968 MERMILL RD, Bradner, OH 43406
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2163712

South East Ambulance District · Bradner, OH
Active · expires Mar 19, 2027
CLIA Number36D2163712
Laboratory TypeAmbulance
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorThomas E. Gross
Laboratory Phone(419) 575-1544
Laboratory LocationSouth East Ambulance District1968 Mermill Road, Bradner, OH 43406
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
627 services36 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
31 services26 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
15 services13 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South East Ambulance District's NPI number?

The NPI number for South East Ambulance District is 1629535133. It was assigned to this organization in the NPPES registry on February 21, 2019.

Where is South East Ambulance District located?

South East Ambulance District is located at 1968 Mermill Rd, Bradner, OH 43406. The listed phone number is (419) 800-8033.

What is South East Ambulance District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does South East Ambulance District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2163712) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South East Ambulance District was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.